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General NPI Number Information
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NPI Number | 1437848496
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Entity Type | Individual
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Provider Name | FUNMILAYO IGBINIGIE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 900 FULTON AVE
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City | SACRAMENTO
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State | CA
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Zip | 95825-4500
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Country | US
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Telephone | 916-443-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 9569 MAINLINE DR
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City | ELK GROVE
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State | CA
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Zip | 95624-4466
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Country | US
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Telephone | 916-548-0858
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95032450
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 744436
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License Number State | CA
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